Chapter 30: Mental health disorders of childhood and adolescence

Question 1

The following flashcards will include the study guide and the lecture blackboard powerpoint

Question 2

An estimated 20% of American youths are affected by a mental disorder that impairs their ability to function.

in addressing intellectual disabilities, the emphasis is on determining adaptive behaviors ( conceptual skills, concepts, self direction, social skills ) and practical skills

with guidance and education, many children will no longer have a disability as adults.

Question 3

what does neurodevelopment disorders mean?

Answer 3

ASD is characterized by persistent impairment non social communication and social interaction without others

Question 4

how do children with asd manage?

Answer 4

benefit from structure and specific behavioral interventions

Question 5

what does ADHD mean?

Answer 5

defined by the presence of inattention, impulsiveness, and in most cases, hyperactivity

Question 6

notes
adhd is the most common disorder of childhood

affects boys more often than girls

nursing interventions involve family and child education and support

the family must partner with the school system to help the child receive the best educational experiences

Question 7

in the powerpoint what does neurocircuitry mean ?

Answer 7

dysrefulation of DA and NE in the prefrontal cortex

Question 8

what are the medications we use to treat ADHD?(5)

Answer 8

atomoxetine
( straterra )

lisdexamfetamine
( vynanse)

adderall

methyphenidate
( concerta )

methylylphenidate
( Ritalin )

Question 9

what are the 2 medication types/groups we usually give to patients with adhd?

Answer 9

psychostimulant
non stimulants

Question 10

what is the mechanism of action for stimulants of adhd?

Answer 10

inhibition of DA transporter ( also some work on SE transporter )

Question 11

what are common side effects of adhd medications? (3)

Answer 11

headaches
irritability
decrease appetite

Question 12

what are 3 things to monitor for patients who are taking medications for their adhd?

Answer 12

EKG (heart)
blood pressure
height/weight

Question 13

can we use Wellbutrin ( bupropion ) for patients who have adhd?

Answer 13

yes

Question 14

what is a Tourette disorder?

Answer 14

a tic disorder characterized by motor and phonetic tics

Question 15

what are the two classes of medications we use to treat tics?

Answer 15

antipsychotics
and alpha adrenergic receptor agnostic

Question 16

what is the new antipsychotic that is replacing haloperidol and primozide when treating a person with tics?

Answer 16

aripiprazole

Question 17

Separation anxiety is relatively common in school-aged children.

OCD becomes more common in adolescents.

Treatment of separation anxiety and OCD may include medication, behavioral therapy,
or a combination of these treatments.

• Elimination disorders include encopresis and enuresis.

Behavioral therapy approaches are the most effective treatment for these disorders. o Medication may also be used.

• Major depression in children is believed to be similar to major depression in adults.
• Childhood schizophrenia is a rare disorder, so other diagnoses should be carefully considered.
  Nursing care is similar to care of children with ASDs